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TEMPE ADVANCED SUPPORT GROUP PLLC NPI 1700576857


NPI Information

NPI: 1700576857
Provider Name: TEMPE ADVANCED SUPPORT GROUP PLLC
Classification: Surgery - 208600000X
Entity Type: Organization
Address:
4860 E BASELINE RD STE 105
MESA, AZ
ZIP 85206
Phone: (480) 485-8585
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TEMPE ADVANCED SUPPORT GROUP PLLC is a surgery in Mesa, AZ. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. TEMPE ADVANCED SUPPORT GROUP PLLC NPI is 1700576857. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4860 E BASELINE RD STE 105
MESA, AZ
ZIP 85206-670
Phone: (480) 485-8585
Fax: (480) 302-7818

The provider's authorized official is John J. Debarros .
The authorized official title is Owner/provider and has the following contact phone number (480) 485-8585.

The enumeration date for this NPI number is 5/11/2023 and was last updated on 5/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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